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Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_8 | Pages 37 - 37
1 May 2018
Jukes C Stone A Oliver-Welsh L Khaleel A
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Background

Humerus fracture non-union is a challenge for which a wide range of treatments exist. We present our experience of managing these by hybrid Ilizarov frame fixation, without bone graft or debridement of the non-union site.

Methods

Case notes review of a consecutive series of 20 patients treated for aseptic humeral non-union between 2004 and 2016. Eighteen patients had previous plate or intramedullary nail fixations, and 2 had no prior surgery. During Ilizarov application, any existing metalwork preventing dynamisation of the fracture site was removed through minimal incisions before compression of the fracture site was then achieved. Only 3 patients had open debridement or osteotomy of the non-union site, otherwise all other patients had no debridement of their non-union.


Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_8 | Pages 10 - 10
1 May 2018
Gee C Dimock R Nutt J Stone A Jukes C Kontoghiorghe C Khaleel A
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Introduction

Our unit has extensive experience with the use of Ilizarov circular frames for acute fracture and nonunion surgery. We have observed and analysed fracture healing patterns which question the role of relative stability in fracture healing and we offer limb mechanical axis restoration as a more important determinant.

Aim

To assess for the presence of external callus, when only relative stability has been achieved but with anatomical restoration of the mechanical axis (ARMA).